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Organization
PREMIER HEALTH PA
Active
Organization
PREMIER HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE WANDETO (CEO)
(610) 690-9605
Entity
Organization
Contact information
Practice address
202 W ALBEMARLE AVE, LANSDOWNE, PA 19050-1127
(610) 690-9605
Mailing address
202 W ALBEMARLE AVE, LANSDOWNE, PA 19050-1127
(610) 690-9605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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